Start quick care visit — $39 Book a video visit — $129
Legal

Notice of Privacy Practices

Li Health LLC · Effective April 8, 2026 · Last updated April 8, 2026

This notice describes how medical information about you may be used and disclosed, and how you can get access to this information. Please review it carefully.

Who we are How we use and disclose information State-specific rights Your rights Our responsibilities Additional information about Li Health How to submit a complaint

Who we are

Li Health LLC is a virtual telehealth practice operated by Lilit Margaryan, MD, providing weight loss medicine and urgent care services to patients in Maryland, Virginia, Washington DC, Georgia, California, and Pennsylvania. This Notice applies to Li Health LLC and all clinicians, staff, and contractors authorized to access your health information on our behalf.

We are a covered entity under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its implementing regulations. We are committed to protecting the privacy of your health information and to complying with all applicable federal and state privacy laws.

We are required by law to maintain the privacy of your Protected Health Information (PHI), to provide you with this Notice of our legal duties and privacy practices, and to follow the terms of this Notice while it is in effect. We reserve the right to change the terms of this Notice at any time. Any changes will apply to PHI we already hold as well as PHI we receive in the future. When we make a material change, we will post the updated Notice on this website.

How we may use and disclose your health information

The following describes the ways we may use and disclose your PHI. Not every possible use or disclosure is listed, but all of the ways we are permitted to use and disclose your information fall within one of the categories below.

A. Treatment, payment, and health care operations

Federal law permits us to use and disclose your PHI without your written authorization for the following purposes.

Treatment. We use your health information to provide you with medical care. This includes sharing your information with other members of your care team at Li Health and, when necessary, with outside providers such as specialists, laboratories, or pharmacies involved in your treatment. For example, we may send a lab order to a laboratory, which will need your information to process the test and return results to us.

Payment. Li Health is a cash-pay practice. We do not bill your insurance company for appointment fees. However, we may use or disclose your PHI in connection with laboratory services or prescription medications. If you choose to seek reimbursement from your health insurance for covered services such as labs or prescriptions, we may need to provide relevant clinical documentation to support your claim.

Health care operations. We may use your PHI for internal business activities necessary to run our practice. This includes quality improvement activities, staff training and performance review, compliance and legal activities, and practice administration. For example, we may review clinical records to evaluate the quality of care we provide, or use contact information to send appointment reminders.

B. Uses and disclosures required or permitted by law

In addition to treatment, payment, and operations, we may use or disclose your PHI in the following circumstances without your written authorization.

As required by law. We will disclose your PHI when required to do so by applicable federal, state, or local law.
Public health activities. We may disclose your PHI to public health agencies authorized by law to collect health information for purposes such as disease surveillance, reporting of communicable diseases, tracking adverse events related to medications or medical devices, and preventing the spread of disease.
Health oversight. We may disclose your PHI to federal or state agencies conducting oversight activities authorized by law, such as audits, inspections, licensing activities, and investigations related to the health care system.
Abuse, neglect, or domestic violence. If we have reason to believe you have been a victim of abuse, neglect, or domestic violence, we may disclose your PHI to a government authority authorized to receive such reports, to the extent required or permitted by law.
Judicial and administrative proceedings. We may disclose your PHI in response to a valid court order, administrative tribunal order, subpoena, or discovery request, subject to applicable legal requirements and protections.
Law enforcement. We may disclose your PHI to law enforcement officials when required by law or legal process, including in response to a valid court order, warrant, subpoena, or summons.
Serious threats to health or safety. We may use or disclose your PHI when we believe in good faith that doing so is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public, and the disclosure is made to someone reasonably able to prevent or lessen the threat.
Coroners, medical examiners, and funeral directors. We may disclose your PHI as necessary for them to carry out their legal duties.
Organ and tissue donation. If you are an organ or tissue donor, we may disclose your PHI to organizations involved in organ procurement, banking, or transplantation.
Research. We may use or disclose your PHI for research purposes when a research project has received approval from an Institutional Review Board or Privacy Board that has established appropriate protocols to protect the privacy of your information.
Workers' compensation. We may disclose your PHI to the extent necessary to comply with workers' compensation or similar programs.
Government functions. We may disclose your PHI for specialized government functions, including activities related to national security, intelligence, or the provision of protective services, as permitted by law.
Correctional institutions. If you are an inmate of a correctional institution, we may use or disclose your PHI as necessary for your health care and the health and safety of others.
Business associates. We share PHI with third-party vendors and service providers who perform functions on our behalf, such as technology providers, billing services, and laboratory networks. All such vendors are required by law and by contract to protect your PHI and may only use it for the specific purposes for which they were engaged.
Secretary of HHS. We may be required to disclose your PHI to the Secretary of the U.S. Department of Health and Human Services for the purpose of investigating or determining our compliance with federal privacy laws.

C. Disclosures to family, friends, and others involved in your care

We may share relevant portions of your PHI with a family member, close friend, domestic partner, or other person you have identified who is involved in your health care or in paying for your care. We will give you the opportunity to object to such disclosures when possible. If you are unable to communicate your preferences due to an emergency or incapacity, we will use our professional judgment to determine whether a disclosure is in your best interest.

D. Uses and disclosures requiring your written authorization

For uses and disclosures of your PHI that are not described in this Notice, we will ask for your written authorization before proceeding. This includes:

Most uses and disclosures of your PHI for marketing purposes.
The sale of your PHI.
Disclosure of psychotherapy notes, except in limited circumstances permitted by law.
Any other use or disclosure not otherwise permitted by law or described in this Notice.

You have the right to revoke any authorization you have given us at any time by submitting a written revocation to our Privacy Officer. Your revocation will be effective going forward, but will not affect any actions we took in reliance on your authorization before we received your revocation.

State-specific privacy rights and protections

In addition to your federal HIPAA rights, the laws of the states in which Li Health is licensed provide additional privacy protections. The provisions below apply to patients in the respective states.

Maryland (MD)

Maryland law grants patients the right to inspect and copy their medical records. Li Health will comply with all applicable provisions of the Maryland Health-General Article governing patient record access.
Maryland law prohibits the unauthorized disclosure of HIV and AIDS-related information. Li Health will not disclose such information without proper written authorization, except as required or permitted by Maryland law.
Maryland law provides heightened protections for mental health and psychiatric records, which may not be disclosed without patient authorization except in circumstances expressly permitted by law.
Maryland law requires mandatory reporting of certain communicable diseases and conditions to the Maryland Department of Health. Li Health will comply with all applicable reporting obligations.
Maryland law provides patients the right to amend inaccurate information in their medical records and to add a statement of disagreement if an amendment request is denied.

Virginia (VA)

Virginia law grants patients the right to inspect and obtain copies of their health records maintained by a health care provider, subject to applicable provisions of the Virginia Code.
Virginia law provides specific protections for HIV testing information and AIDS-related diagnoses. Li Health will not disclose such information without written authorization except as required or permitted by Virginia law.
Virginia law provides heightened protections for mental health records and substance abuse treatment records. Such records will not be disclosed without proper authorization except as expressly permitted by law.
Virginia law requires mandatory reporting of certain communicable diseases and conditions to the Virginia Department of Health. Li Health will comply with all applicable reporting obligations.
Virginia law protects the confidentiality of genetic information and prohibits its unauthorized disclosure.

Washington DC

The District of Columbia Mental Health Information Act establishes heightened protections for mental health records and restricts their disclosure. Li Health will comply with all applicable DC Code provisions governing mental health information.
DC law provides protections for HIV-related information and prohibits unauthorized disclosure of HIV test results or diagnoses except as authorized or required by law.
DC law grants patients the right to access their medical records. Li Health will comply with all applicable DC Code provisions governing health information access and copying.
DC law requires mandatory reporting of certain communicable diseases and conditions to the DC Department of Health. Li Health will comply with all applicable reporting obligations.
DC law provides heightened protections for substance abuse treatment records consistent with applicable federal and local regulations.

Georgia (GA)

Georgia law grants patients the right to access and obtain copies of their medical records upon written request, subject to applicable provisions of the Official Code of Georgia Annotated.
Georgia law provides protections for HIV-related information and prohibits unauthorized disclosure of HIV test results except as authorized or required by law.
Georgia law requires mandatory reporting of certain communicable diseases and conditions to the Georgia Department of Public Health. Li Health will comply with all applicable reporting obligations.
Georgia law provides protections for mental health and substance abuse treatment records. Such records will not be disclosed without proper written authorization except as permitted by law.
Georgia law permits disclosure of patient information to other providers directly involved in a patient's care for treatment purposes.

California (CA)

California law provides patients with the right to inspect medical records during business hours within five working days of a written request. Copies must be provided within fifteen days. Copy fees are limited by statute to $0.25 per page for standard records and $0.50 per page for microfilm copies.
California law prohibits the disclosure of HIV and AIDS-related information without written authorization, except in circumstances specifically authorized or required by state or federal law.
California law provides heightened protections for mental health records and limits their disclosure without patient authorization.
California law requires mandatory reporting of certain communicable diseases and conditions to the California Department of Public Health. Li Health will comply with all applicable reporting obligations.
For minor patients, California law permits disclosure of PHI to a legally authorized custodian or caregiver for the purpose of coordinating health care services and treatment.
California law prohibits the use or disclosure of patient medical information for marketing or commercial purposes without express patient authorization.
California law permits disclosure of PHI in response to a lawfully issued search warrant from a governmental law enforcement agency.
For organ and tissue donors, California law permits disclosure to authorized tissue banks as necessary to facilitate donation or transplantation.
California law permits disclosure of PHI to a probate court investigator in connection with a conservatorship proceeding, to the extent the information is relevant to the patient's condition, care, or treatment.
California law permits disclosure to professional review bodies, including medical staff committees and professional standards review organizations, for the purpose of evaluating professional conduct and quality of care.

Pennsylvania (PA)

Pennsylvania law grants patients the right to access and obtain copies of their medical records, subject to applicable provisions of the Pennsylvania Consolidated Statutes.
Pennsylvania law provides protections for HIV-related information under the Confidentiality of HIV-Related Information Act. Li Health will not disclose such information without written authorization except as required or permitted by law.
Pennsylvania law provides heightened protections for mental health records under the Mental Health Procedures Act and for substance abuse treatment records under applicable state and federal law.
Pennsylvania law requires mandatory reporting of certain communicable diseases and conditions to the Pennsylvania Department of Health. Li Health will comply with all applicable reporting obligations.
Pennsylvania law provides patients the right to receive an accounting of disclosures made from their medical records.

Your rights regarding your health information

You have the following rights with respect to your PHI. To exercise any of these rights, please contact our Privacy Officer in writing using the contact information at the end of this Notice.

Right to access and copy your records

You have the right to inspect and obtain a copy of your medical and billing records that we maintain. We will respond to your request within 30 days, with a possible 30-day extension if needed. We may charge a reasonable cost-based fee for copying. In limited circumstances, we may deny your request, and you may have the right to request a review of that denial.

Right to request restrictions

You may ask us to limit how we use or disclose your PHI for treatment, payment, or health care operations, or to limit disclosures to persons involved in your care. We are not required to agree to most restriction requests. However, if you have paid in full out of pocket for a specific service and ask us not to share information about that service with your health plan, we are required by law to honor that request.

Right to request confidential communications

You may request that we contact you using a specific method or at a specific address or phone number. We will honor reasonable requests without requiring you to explain why. For example, you may ask us to contact you only by email at a particular address.

Right to amend your records

If you believe that your health information is inaccurate or incomplete, you may request that we amend it. We will respond within 60 days, with a possible 30-day extension. We may decline your request if we determine the information is accurate and complete, was not created by us, or is not part of the records we maintain. If we deny your request, you may submit a written statement of disagreement to be added to your record.

Right to an accounting of disclosures

You may request a list of disclosures we have made of your PHI in the six years prior to your request, other than disclosures for treatment, payment, operations, or disclosures you authorized. You are entitled to one free accounting per 12-month period. We will notify you of any fee before processing additional requests within the same period.

Right to a copy of this Notice

You may request a paper copy of this Notice at any time, regardless of whether you have agreed to receive it electronically. This Notice is also available on this website.

Right to be notified of a breach

If a breach of your unsecured PHI occurs that poses a significant risk of harm to you, we are required by law to notify you in a timely manner.

Right to opt out of fundraising communications

If Li Health contacts you for fundraising purposes, you have the right to opt out of receiving future fundraising communications. To opt out, contact us at info@lihealthclinic.com. Opting out will have no effect on your care or your payment obligations.

Our responsibilities

Li Health is required by law to:

Maintain the privacy and security of your Protected Health Information.
Provide you with this Notice describing our privacy practices and your rights.
Notify you promptly if a breach of your unsecured PHI occurs.
Abide by the terms of this Notice for as long as it remains in effect.
Not use or disclose your PHI in any manner not described in this Notice without your written authorization.

Additional information about Li Health

Scope of services. Li Health specializes in weight loss medicine, GLP-1 medication management, and urgent care. We do not provide ongoing management of chronic conditions such as hypertension, diabetes, or thyroid disease. When clinically appropriate, we may provide a limited short-term bridge refill for a chronic condition medication to ensure continuity when a patient is temporarily without access to their regular physician.
Your medical records. Your primary medical record is maintained by your regular physicians and electronic health record system. Li Health accesses clinical information as needed to deliver care to you and documents its own clinical encounters and decisions. Li Health does not serve as the custodian of your primary medical record.
Laboratory services. When lab work is ordered, we recommend Labcorp or Quest Diagnostics because these laboratories can share your results with us electronically, which supports faster and more coordinated care. You may use any licensed laboratory of your choice.
Communications. We may contact you by email or through our secure patient portal for clinical and administrative purposes related to your care. By providing your contact information, you authorize us to use those channels to communicate with you. You may request a different method of communication at any time.
Insurance and payment. Li Health appointment fees are not covered by insurance. Depending on your plan, laboratory services and prescriptions may be eligible for insurance coverage. Appointment fees may also be reimbursable through a Health Savings Account (HSA) or Flexible Spending Account (FSA). We recommend confirming eligibility with your insurer or plan administrator.
No controlled substances. Li Health does not prescribe controlled substances.

How to submit a complaint

If you believe your privacy rights have been violated, you may file a complaint with Li Health or directly with the U.S. Department of Health and Human Services. Filing a complaint will not affect your care in any way. We do not retaliate against patients who file complaints.

With Li Health
Li Health LLC
Privacy Officer: Lilit Margaryan, MD
9711 Washingtonian Boulevard, Suite 550
Gaithersburg, MD 20878
With HHS Office for Civil Rights
Phone: 1-800-368-1019
TDD: 1-800-537-7697
200 Independence Avenue SW
Washington, DC 20201
Terms of Use Privacy Policy Legal Notices